# CMS Hospice PPS Per-Diem Rates (Federal Register final rule)

`medicare_silver.fact_hospice_pps_rate` · Medicare Advantage, Part D, Medicaid · status live · 164 rows

CMS Hospice PPS per-diem payment rates, extracted from CMS transmittals and Federal Register final-rule tables: Routine Home Care, Continuous Home Care (+ hourly), Inpatient Respite Care, General Inpatient Care — full rates + reduced rates for hospices not meeting quality reporting. The hospice repricing benchmark for the 9k+ hospices we roster (dim_hospice); wage index applies by CBSA on top. Each load is VALIDATED against the rule's stated rate. FY2005-FY2026 are live and proven: FY2005-FY2013 standard pre-HQRP CMS transmittal years, FY2014-FY2015 legacy single-RHC years, FY2016's exact Oct-Dec single-RHC plus Jan-Sep two-tier transition, and FY2017-FY2026 modern two-tier-RHC years.

**Grain.** One row per (fiscal_year, quality_compliant, level_of_care) — hospice per-diem rate.

| column | type | meaning |
|---|---|---|
| fiscal_year | int |  |
| quality_compliant | boolean |  |
| level_of_care | string |  |
| revenue_code | string |  |
| level_description | string |  |
| base_rate | double |  |
| final_rate | double |  |
| hourly_rate | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_hospice_pps_rate WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_hospice_pps_rate")` first.